AAV5-hFIXco-Padua
GeneticSingle intravenous infusion of AAV5-hFIXco-Padua (AMT-061)
Other names: AMT-061, etranacogene dezaparvovec
NCT Number: NCT03569891
This is an open-label, single-dose, multi-center, multinational trial to demonstrate the efficacy of AMT-061 and to further describe its safety profile.
The study drug is identified as AAV5-hFIXco-Padua (AMT- 061). AMT-061 is a recombinant adeno-associated viral vector of serotype 5 (AAV5) containing the Padua variant of a codon-optimized human FIX complementary deoxyribonucleic acid (cDNA) under the control of a liver-specific promoter. The pharmaceutical form of AMT-061 is a solution for intravenous infusion administered at a dose of 2 x 10^13 gc/kg.
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Notify Me18 year and older
Male
Interventional
Phase 3
Cliniques Universitaires Saint-Luc, Brussels, Belgium
Healthy volunteers accepted: No
Only the study team can determine whether someone qualifies for participation.
Inclusion criteria
Exclusion criteria
Single intravenous infusion of AAV5-hFIXco-Padua (AMT-061)
Other names: AMT-061, etranacogene dezaparvovec
During the lead-in phase, which lasted for a minimum of 26 weeks (i.e., ≥6 months), subjects recorded their use of FIX replacement therapy and bleeding episodes in their dedicated e-diary.
Time frame: Lead-in period and months 7-18 post-treatment of AMT-061 (CSL222)
Adjusted ABR for Lead-in and Post-Treatment period was estimated from a repeated measures generalized estimating equations negative binomial regression model accounting for the paired design of the trial with an offset parameter to account for the differential collection periods. Treatment period was included as a categorical covariate.
Time frame: At Baseline, 6, 12, and 18 months after AMT-061 (CSL222) dosing
One-stage activated partial thromboplastin time (aPTT) based endogenous FIX activity levels from central laboratory assay.
Time frame: Lead-in period and months 0-6, 7-12, and 13-18 after AMT-061 (CSL222) dosing
Annualized consumption of FIX replacement therapy.
Time frame: Lead-in period and months 7-18 after AMT-061 (CSL222) dosing
Time frame: Months 7-18 after AMT-061 (CSL222) dosing
Time frame: Lead-in and 3, 12, and 18 months after AMT-061 (CSL222) dosing
Time frame: Lead-in and Months 7-18 after AMT-061 (CSL222) dosing
Adjusted ABR for Lead-In and Post-Treatment period was estimated from a repeated measures generalized estimating equations negative binomial regression model accounting for the paired design of the trial with an offset parameter to account for the differential collection periods. Treatment period was included as a categorical covariate.
Time frame: Lead-in period and months 7-18 after AMT-061 (CSL222) dosing
Adjusted ABR for Lead-In and Post-Treatment period was estimated from a repeated measures generalized estimating equations negative binomial regression model accounting for the paired design of the trial with an offset parameter to account for the differential collection periods. Treatment period was included as a categorical covariate.
Time frame: Lead-in period and months 7-18 after AMT-061 (CSL222) dosing
Adjusted ABR for Lead-In and Post-Treatment period was estimated from a repeated measures generalized estimating equations negative binomial regression model accounting for the paired design of the trial with an offset parameter to account for the differential collection periods. Treatment period was included as a categorical covariate.
Time frame: At Baseline, 6, 12, and 18 months after AMT-061 (CSL222) dosing
One-stage aPTT-based endogenous FIX activity levels from central laboratory assay.
Time frame: At Baseline, 6, 12 and 18 months after AMT-061 (CSL222) dosing
One-stage aPTT-based endogenous FIX activity levels from central laboratory assay.
Time frame: Up to 18 months after AMT-061 (CSL222) dosing
A target joint was defined as 3 or more spontaneous bleeding episodes into a single joint within a consecutive 6-month period prior to the dosing visit and which was not resolved by the time of dosing. An identified target joint with ≤2 spontaneous bleeding episodes within a consecutive 12-month period was considered resolved.
Time frame: Lead-in period and months 7-18 post-treatment of AMT-061 (CSL222)
Time frame: Lead-in period and up to 12 months after AMT-061 (CSL222) dosing
The iPAQ was designed to provide an evaluation of daily physical activities in metabolic equivalent of task (MET) minutes/week. To calculate MET minutes a week multiply the MET value given (walking = 3.3, moderate activity = 4, vigorous activity = 8) by the minutes the activity was carried out and again by the number of days the activity was undertaken. A higher score is considered to be more favorable.
Time frame: Lead-in period and up to 12 months after AMT-061 (CSL222) dosing
The EQ-5D-5L descriptive system of health-related QoL states consists of 5 dimensions (mobility, self-care, usual activities, pain/discomfort, anxiety/depression). The EQ-5D-5L VAS overall score ranges from 0 to 100. A higher score is considered to be more favorable.
Time frame: Up to 5 years
Time frame: Up to 5 years
To monitor participants for liver fibrosis and potential occurrences of liver malignancies, abdominal ultrasounds were performed. Number of participants with change in abdominal ultrasound result from normal to abnormal, abnormal to abnormal (no change) and missing to abnormal are reported for this outcome measure.
Time frame: At Month 60
Number of participants who developed antibodies directed against AAV5 (including IgM, IgG and neutralizing antibodies) are reported for this outcome measure. A participant was reported as having an IgG and IgM anti-AAV5 antibody titer greater than or equal to (≥) the LOD if both the screening and confirmatory test results were positive and the titer value was ≥ 50.
Time frame: At Month 12 after treatment
Time frame: At Month 60
Time frame: Up to Month 60
Number of participants with >LOD level of fix inhibitors up to Month 60 are reported for this outcome measure. Here, LOD = 0.415 Nijmegen-Bethesda Units per milliliter (NBU/mL).
Time frame: Up to Month 60
Number of participants with increased AST and ALT levels and who used corticosteroids to treat these elevations are reported for this outcome measure.
Time frame: Up to Month 60
Only parameters with post-baseline, newly occurring or worsening potentially clinically significant laboratory values are reported for this outcome measure.
Criteria threshold:
Hemoglobin: < 80 grams per liter (g/L); Platelet Count: < 50 10^9 cells per liter; AST and ALT: > 2 x Baseline value; Total Bilirubin: > 2 x upper limit of normal (ULN).
Time frame: Up to 12 months after treatment
A participant was considered to no longer be shedding vector DNA if they had a negative laboratory result (<LOD) for 3 or more consecutive timepoints.
Time frame: Up to 12 months after treatment
Inflammatory markers assessed included Interleukin-1beta (IL-1β), Interleukin-2 (IL-2), Interleukin-6 (IL-6), Interferon gamma (IFNγ), and Monocyte chemotactic protein-1 (MCP-1).
Lower limit of quantification (LLOQ): IFNγ = 2.86 nanograms per milliliter (ng/mL), IL-1β = 0.60 ng/mL, IL-2 = 0.72 ng/mL, IL-6 = 0.94 ng/mL, MCP-1 = 1.68 ng/mL.
Number of participants with inflammatory markers >= LLOQ are reported for this outcome measure.
Time frame: At Month 60
Number of participants with AFP levels >= LLOQ at Month 60 are reported for this outcome measure. LLOQ for AFP = 1.09 IU/mL.
CSL Behring
Industry
Phase III, Open-label, Single-dose, Multi-center, Multinational Trial Investigating a Serotype 5 Adeno-associated Viral Vector Containing the Padua Variant of a Codon-optimized Human Factor IX Gene (AAV5-hFIXco-Padua, AMT-061) Administered to Adult Subjects With Severe or Moderately Severe Hemophilia B
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View the official ClinicalTrials.gov record (opens in a new tab)This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.
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